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Complaint Investigation

Haven Of Champaign

April 29, 2026 · Champaign, IL · 1315 Curt Drive, Suite B
Citations 1
CMS Rating 1/5
Beds 60
Provider ID 146017
Healthcare Facility
Haven Of Champaign
Champaign, IL  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Haven of Champaign in CHAMPAIGN, IL — inspection on April 29, 2026.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0684
Quality of Life and Care Deficiencies

per facility policy for one resident (R1) reviewed for accident/incident on the sample list of 12

impaired.On 4/29/26 at 8:50 AM, V15 Certified Nursing Assistant (CNA) stated V15 had R1standing in the shower, holding onto the rail while putting a depend on R1 after showering. V15 CNA stated R1 started to slip but V15 caught R1 under R1's arms to keep R1 from falling. V15 CNA stated V15 helped R1 back in the shower chair at that time. V15 CNA stated R1 was confused and doesn't enjoy showers, so V15 was trying to hurry. V15 CNA stated V15 didn't notice any injury until V15 had R1 back in R1's room and was combing R1's hair, noticing a small amount of blood. V15 CNA then went to get the nurse. V15 CNA stated V15 did not see R1 hit R1's head.On 4/29/26 at 2:05 PM, followed V18 CNA to the shower room. V18 stated V18 helped V15 CNA get R1 into the shower chair from the wheelchair then V18 left. V18 CNA stated V18 told V15 CNA that V18 would be back in 15 minutes.

V18 CNA stated V18 returned to help V15 get R1 back in the wheelchair from the shower chair. V18 stated that V15 told V18 they slipped a bit but V15 caught R1. V18 stated V15 didn't say anything about R1 hitting R1's head. V18 CNA stated that when they got R1 back to R1's room, they noticed a small amount of dried blood on R1's head when brushing R1's hair and that's when they notified the nurse. V18 stated the only thing V15 could think of was that R1 hit R1's head on the wheelchair or handlebar but nobody knows.On 4/29/26 at 2:30 PM, V12 Licensed Practical Nurse (LPN) stated V12 saw R1 when R1 was already back in R1's room.

There was only a small amount of blood observed.

V12 immediately sent R1 to the hospital.On 4/29/26 at 2:50 PM, V2 Assistant Director of Nursing (ADON) stated neurological checks were not done due to R1 going to the hospital. V2 stated they should have been done with R1 returning to facility that same day.Nursing assessment dated [DATE] documents Certified Nursing Assistant (CNA) reported to the nurse R1 hit the back of R1's head, got a cut on R1's left back side of R1's head during a shower, and the cut was 4cm (centimeters) long.Hospital summary dated 2/26/26 documents R1 had two staples placed for a laceration to R1's head.Facility Investigation Report dated 2/27/26 documents R1 had behaviors during the shower, bumping R1's head on the shower room wall, resulting in R1 receiving two sutures.The Neurological Assessment Policy dated August 2008 documents to generate neurological assessments for head injuries to be performed for a seventy two hour period unless otherwise ordered by the attending physician as follows every fifteen minutes for four hours, every hour for four hours, every two hours for four hours, every two hours for eight hours and every four hours until the seventy two hour period is complete.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in CHAMPAIGN, IL, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Haven of Champaign or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.